2013-04-23T08:41:49-05:00 2012-12-31 581673613 BENNETT THRASHER PC 3625 CUMBERLAND BOULEVARD 1000 ATLANTA GA 30339 990 2012-01-01 161644265 PARTNERS COOPERATIVE INC PART 6788427300 3625 CUMBERLAND BLVD SE NO 1425 ATLANTA GA 30339 ROY B GILLELAND 6788427300 2013-04-17 1 TIM OBERST P00618530 7703962200 2013-04-03 2012 2016-02-25 16:41:14Z ROY B GILLELAND 3625 CUMBERLAND BLVD SE NO 1425 ATLANTA GA 30339 9993157 0 X N/A X 2002 GA NEGOTIATE PURCHASE CONTRACTS WITH SUPPLIERS. 15 15 11 0 0 0 0 0 8566403 9980404 3307 1086 20000 11667 8589710 9993157 0 0 6921964 8139570 1280304 1367870 0 0 0 387442 485717 8589710 9993157 0 0 2064322 2154802 1818586 1909066 245736 245736 PARTNERS COOPERATIVE, INC. IS A HOSPITAL SHARED SERVICES COOPERATIVE (NOT FOR PROFIT) PROVIDING CONTRACTING AND PURCHASING SERVICES TO ITS MEMBERSHIP. 0 0 9714056 9992071 NEGOTIATE PURCHASE CONTRACTS WITH SUPPLIERS AND DISTRIBUTE MARGIN TO MEMBERS BASED ON PATRONAGE. 9714056 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 11 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X X ROY GILLELAND 6788427000 3625 CUMBERLAND BLVD SE SUITE 1425 ATLANTA GA 30339 DAVID A BELKOSKI 1.00 X 0 0 0 JIM BUDZINSKI 1.00 X 0 0 0 JAMES E CRISSEY 1.00 X 0 0 0 MIKE HEMPHILL 1.00 X 0 0 0 DANE HENRY 1.00 X 0 0 0 ROBERT D JANSEN 1.00 X 0 0 0 TOMMY MCBRIDE 1.00 X 0 0 0 JOSEPH MCGUIRE 1.00 X 0 0 0 G GRANT TRIBBLE 1.00 X 0 0 0 ANTHONY TRUPIANO 1.00 X 0 0 0 JOE AUSTIN 1.00 X 0 0 0 TONY HERDENER 1.00 X 0 0 0 KERRY LOUDERMILK 1.00 X 0 0 0 ROY B GILLELAND 40.00 X 603122 0 10379 RICHARD T SHEERIN 1.00 X 0 0 0 JOHN SHELTON 1.00 X 0 0 0 RENA' POPE 32.00 X 26522 0 1094 WILLIAM NIX 40.00 X 126964 0 3599 756608 0 15072 2 0 1 1 0 REBATES - PATRONAGE 900099 9980404 9980404 9980404 1086 1086 CONSULTING INCOME 900099 11667 11667 11667 9993157 9992071 0 1086 8139570 8139570 771681 771681 392290 392290 203899 203899 74994 74994 18350 18350 51496 51496 53659 53659 46562 46562 79959 79959 9448 9448 7908 7908 53324 53324 18838 18838 MEMBERSHIP DUES 63885 63885 BUSINESS LICENSE 5856 5856 BANK SERVICE CHARGES 1438 1438 9993157 9714056 279101 0 1814892 1682922 133696 18487 37960 421144 231204 160976 189940 69967 110284 2064322 2154802 232268 328561 1586318 1580505 1818586 1909066 X 245736 245736 0 0 0 0 245736 245736 2064322 2154802 0 0 X X 0 1 X 0 0 X 104233 41054 63179 316911 190150 126761 189940 DEPOSITS 110284 110284 CURRENT PORTION OF DEFERRED RENT 23807 DEFERRED RENT, LESS CURRENT PORTION 70670 REBATES PAYABLE 1486028 1580505 X 9993157 0 9993157 0 9993157 9993157 0 9993157 0 9993157 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ORGANIZATION HAS ADOPTED THE PROVISIONS OF FASB ASC 740, INCOME TAXES (ASC 740). ASC 740 REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A 'MORE-LIKELY-THAN-NOT' THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE IMPLEMENTATION OF ASC 740 HAD NO IMPACT ON THE ORGANIZATION'S STATEMENT OF FINANCIAL POSITION OR STATEMENT OF OPERATIONS. THE ORGANIZATION DOES NOT BELIEVE ITS FINANCIAL STATEMENTS INCLUDE (OR REFLECT) ANY UNCERTAIN TAX POSITIONS. X X X X 0 0 0 0 0 0 0 0 0 ROY B GILLELAND 362000 0 189105 0 52017 0 10379 0 0 0 613501 0 0 0 SUPPLEMENTAL INFORMATION PART III FOR THE YEAR ENDED DECEMBER 31, 2011 THE ORGANIZATION HAD AN EMPLOYEE LEASING AGREEMENT WITH SOUTHERN REGIONAL MEDICAL CENTER, AN UNRELATED ORGANIZATION. THE ORGANIZATION PAID A PAYROLL FEE EACH PERIOD TO COVER THE COSTS OF ALL OF THE ORGANIZATION'S SALARIES, PAYROLL TAXES, EMPLOYEE BENEFITS, AND OTHER ADMINISTRATIVE CHARGES. EFFECTIVE JUNE 2012 THE ORGANIZATION TERMINATED THE EMPLOYEE LEASING AGREEMENT WITH SOUTHERN REGIONAL MEDICAL CENTER AND HIRED THE EMPLOYEES. FORM 990, PART VI, SECTION A, LINE 6 AS A COOPERATIVE HOSPITAL SERVICE ORGANIZATION, THE ORGANIZATION HAS MEMBERS THAT ARE PATRON HOSPITALS TO WHICH IT PROVIDES ITS SERVICES. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S MEMBERS HAVE VOTING RIGHTS THAT INCLUDE THE ELECTION OF ONE OR MORE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. THE MEMBERS APPOINT DIRECTORS IN A MANNER SET FORTH IN THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE MEMBERS OF THE ORGANIZATION. THESE DECISIONS INCLUDE, BUT ARE NOT LIMITED TO, THE APPOINTMENT OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION HAS A POLICY THAT STATES THAT PAPER AND/OR ELECTRONIC COPIES OF FORM 990 WILL BE PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO ITS FILING WITH THE IRS. THE FORM 990 WILL BE REVIEWED BY THE ENTIRE BOARD BEFORE SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S BYLAWS PROVIDE FOR A REVIEW OF THE CONFLICT OF INTEREST AND, IF NECESSARY, RECUSAL OF THE INTERESTED PERSON. FURTHERMORE, THE ORGANIZATION HAS A CLEAR AND DETAILED CONFLICT OF INTEREST POLICY WHICH ESTABLISHES A PROCEDURE FOR IDENTIFYING, REVIEWING AND ADDRESSING CONFLICT OF INTEREST. THIS POLICY ALSO REQUIRES EACH DIRECTOR, PRINCIPAL OFFICER AND EMPLOYEE OF THE ORGANIZATION TO ANNUALLY SIGN A STATEMENT ACKNOWLEDGING RECEIPT OF THE CONFLICT OF INTEREST POLICY AND DISCLOSING ANY POTENTIAL CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S BYLAWS PROVIDE FOR AN EXECUTIVE COMPENSATION COMMITTEE THAT HAS THE AUTHORITY TO TAKE ACTION ON BEHALF OF THE BOARD WITH RESPECT TO THE COMPENSATION OF OFFICERS. HOWEVER, THE COMPENSATION COMMITTEE MUST KEEP MINUTES OF ITS PROCEEDINGS AND REPORT ITS ACTIONS TO THE BOARD. THE ORGANIZATION ALSO HAS A COMPENSATION POLICY. THIS POLICY STATES THAT ON AN ANNUAL BASIS THE COMPENSATION COMMITTEE WILL MEET TO SET THE PRESIDENT'S ANNUAL COMPENSATION. THIS POLICY ALSO STATES THAT A THIRD PARTY HR CONSULTING FIRM WILL BE ENGAGED ANNUALLY TO REVIEW THE TOTAL COMPENSATION OF THE ORGANIZATION'S KEY EMPLOYEES SUCH THAT TOTAL COMPENSATION PACKAGES ARE CONSIDERED FAIR MARKET AND NOT EXCESSIVE. THE THIRD PARTY HR CONSULTING FIRM'S FINDINGS ARE PRESENTED TO THE COMPENSATION COMMITTEE FOR THE REVIEW ANNUALLY. THE COMPENSATION COMMITTEE IS REQUIRED TO KEEP MINUTES OF THE MEETINGS AND REPORT ITS ACTIONS TO THE BOARD. THE BOARD OF DIRECTORS ALSO FIX A REASONABLE SALARY OR COMPENSATION FOR OFFICERS IN ACCORDANCE WITH POLICIES AND PROCEDURES ADOPTED BY THE BOARD OF DIRECTORS AND IN ACCORDANCE WITH APPLICABLE IRS RULES, REGULATIONS, AND GUIDELINES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC IN ITS OFFICE AND UPON REQUEST. FORM 990, PART XII, LINE 2C THE ENTIRE BOARD OF DIRECTORS APPROVES THE AUDIT ANNUALLY. THERE IS NO SEPARATE COMMITTEE TO PERFORM THIS FUNCTION.